The management of periodontitis with hypercementosis: A case report

Abstract

Objectives: The aim of this report was to describe the management of periodontitis with hypercementosis. Methods: A 30-year-old male patient was referred from the Department of Conservation with complaints of pain during root canal filling. The tooth was traumatized 3 years ago. An intraoral assessment showed teeth #11 with grade 2 mobility, probing depth (mesial = 6 mm, distal: 7 mm, buccal: 5 mm, palatal: 5 mm), extrusion and discolorization. Radiography examination has shown lateral bone destruction and hypercementosis. Regenerative treatment was carried out to resolve the case. Results: The treatment was done using a bone graft combination with Platelet Rich Fibrin (PRF) and has showed improvement after three months evaluation. Conclusion: Periodontitis with hypercementosis is a rare case. Hence appropriate treatment planning must be done to ensure a good prognosis. Combination of bone graft and platelet-rich fibrin (PRF) in the regenerative periodontal procedure has shown better results after three months evaluation. However, the right diagnosis, appropriate treatment planning, good multidisciplinary collaboration supported by patient cooperation can guarantee the success of treatment.

Keywords

• Hypercementosis
• Periodontitis
• Regenerative treatment